Document 350563

Specialised Respiratory Quality Dashboard
Measure Number Domain Description &
Provenance
Difficult asthma
RESP01
RESP02
RESP03
RESP04
RESP05
RESP06
Interstitial Lung Disease
RESP07
Name of KPI
Numerator
Denominator
Time from receipt of referral to first outpatient time from referral to Number of first
appointment
outpatient
appointments
% patients with a specialist centre (LIST)
from denominator,
Number of patients
diagnosis who have an agreed written
number who have
with specialist
management plan - no source
agreed written
centre diagnosis
management plan
Proportion of patients on specialised service
caseload with a record on the BTS Severe
asthma registry within 3 months of entry to
the service
% patients with a specialist centre diagnosis
receiving bone protection as per service
specification
Rate of exacerbations (worsening of symptoms
requiring initiation or doubling of oral
corticosteroids for at least 3 days) within last
year for all patients on caseload
Proportion of patients with a clinically
significant improvement in asthma related QoL
(as per JUNIPER AQLQ or ACQ7) following entry
to the specialised service
Frequency
Numerator Data
Source
Denominator
Data Source
Quarterly
Trust
Trust
Quarterly
Trust
Trust
Quarterly
BTS
BTS
Quarterly
BTS
BTS
Quarterly
BTS
BTS
Quarterly
BTS
BTS
% of referrals discussed at ILD MDT (as per from
denominator,
service specification) within 3 months of first number of referrals
assessment in the specialised service
discussed as ILD MDT
within 3 months of
first assessment
Median time to death from first diagnosis (if time
from
first
possible)
diagnosis to death
Number of first Quarterly
assessments during
previous quarter
Trust
Trust
Number of deaths
Quarterly
HES
HES
RESP09
% patients with IPF having full Lung Function TBC
Tests (as per service specification) within 3
months of first assessment
TBC
Quarterly
? HES
? HES
RESP10
% patients with IPF having full LFTs (as per
service specification) annually
Quarterly
Trust
Trust
RESP08
Target
Notes
further guidance
needed - not for
first data
collection
RESP11
Complex home ventilation
RESP12
RESP14
Mean/median interval between emergency TBC
admissions for respiratory deterioration of IPF
patients on caseload
TBC
% of patients receiving home ventilation From denominator,
requiring emergency admission for a number of patients
respiratory cause per year
requiring emergency
admission for a
respiratory cause
% of patients receiving home ventilation with a From denominator,
recorded
annual
arterial
blood
gas number with recorded
measurement
annual arteral blood
gas measurement
Number of patients
receiving home
ventilation
Quarterly
? HES
? HES
Trust
Trust
Trust
Trust
further guidance
needed - not for
first data
collection
Annual
Number of patients
receiving home
ventilation
Annual
ROCR/OR/2230/001MAND